Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC in Smithfield, NC

Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Smithfield, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johnston Specialty Physician Services,inc and her current practice location is 514 N Brightleaf Blvd Ste 1100, Smithfield, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 989-2192.

Mrs Latorya Delois Moore is licensed to practice in North Carolina (license number 5010083) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720593908.

Contact Information

	Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC
	514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577
	(919) 989-2192
	(919) 934-0006

Map and Direction

Provider's Profile

Full Name	Mrs Latorya Delois Moore
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	514 N Brightleaf Blvd Ste 1100, Smithfield, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Latorya Delois Moore attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2017

NPI Data:

NPI Number: 1720593908
Provider Enumeration Date: 12/09/2017
Last Update Date: 12/01/2019

Medicare PECOS Information:

PECOS PAC ID: 2163785387
Enrollment ID: I20180420000823

Medical Identifiers

Medical identifiers for Mrs Latorya Delois Moore such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720593908	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	5010083 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johnston Health	Smithfield, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Johnston Specialty Physician Services,inc	1052479979	5

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Latorya Delois Moore allows following entities to bill medicare on her behalf.

Entity Name	Private Diagnostic Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457389033 PECOS PAC ID: 1355254368 Enrollment ID: O20031204000577

Entity Name	Johnston Specialty Physician Services,inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801344395 PECOS PAC ID: 1052479979 Enrollment ID: O20081022000184

Entity Name	Dlp Maria Parham Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215273628 PECOS PAC ID: 7719153683 Enrollment ID: O20111222000550

Entity Name	Duke Health Integrated Practice Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Latorya Delois Moore is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577-4487 Ph: (919) 989-2192	Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 Ph: (919) 989-2192

Reviews and Comments

Nurse Practitioner Nurses in Smithfield, NC

Angela Louise Wadsworth, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 N Brightleaf Blvd Ste 1620, Smithfield, NC 27577 Phone: 919-938-7187 Fax: 919-938-7201
Jacqueline R Costello, DNP, APRN, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1519 E Booker Dairy Rd Ste B, Smithfield, NC 27577 Phone: 919-938-2144
Mrs. Karen H Merritt, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Kellie Dr, Smithfield, NC 27577 Phone: 919-938-3749 Fax: 919-938-3795
Angela Demetrius, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 614 E Market St, Smithfield, NC 27577 Phone: 919-975-1100
Brittany Evans Jackson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 Phone: 919-989-2192 Fax: 919-934-0006
Juanita Shawnta Outlaw, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 293 Bella Sq, Smithfield, NC 27577 Phone: 252-724-0192
Mrs. Tara Denise Bush, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 Lassiter St, Smithfield, NC 27577 Phone: 919-209-9856 Fax: 919-209-9859

Mrs Latorya Delois Moore, MSN, RN, AGPCNP-BC - Medicare Nurse Practitioner in Smithfield, NC